Holland Booking | Learning Through Sport

Holland Booking

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Holland Player Registration

Child First and Last Name *
Parent/Carer First and Last Name *
Passport Number *
Child Age *
Date of Birth *
Mobile Number *
Email *
Current School *
Current School Year *
Medical Conditions *
Please put NA if none
Preferred Playing Position *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Next of Kin

Emergency Contact *
Emergency Number *
Next of Kin Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Terms and Conditions *
By checking this box you are accepting the terms and conditions detailed in this document. Please read fully before accepting and submitting this formI accept the Terms and Conditions

Verification

Please enter any two digitsExample: 12
This box is for spam protection - please leave it blank

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